WHITE EARTH HEALTH CENTER NPI 1205042728

NPI Information

NPI: 1205042728
Provider Name: WHITE EARTH HEALTH CENTER
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Other Name: WHITE EARTH IHS
Address: 40520 COUNTY HIGHWAY 34
OGEMA, MN
ZIP 56569
Phone: (218) 983-4300

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NPI Details

WHITE EARTH HEALTH CENTER is a durable medical equipment medical supplies in Ogema, MN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. WHITE EARTH HEALTH CENTER NPI is 1205042728. The provider is registered as an organization entity type.
The provider Other Name Is White Earth Ihs.

The provider's business location address is:

40520 COUNTY HIGHWAY 34
OGEMA, MN
ZIP 56569-612
Phone: (218) 983-4300
Fax: (218) 983-6217

The provider's authorized official is Fred C Koebrick .
The authorized official title is Ceo and has the following contact phone number (218) 983-6214.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5511210003	OTHER	MINNESOTA	DMEPOS SUPPLIER NUMBER
2	6B303WH	OTHER	MINNESOTA	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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